Individual
EDWARD ISAAC HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1516 HUDSON ST STE 105, LONGVIEW, WA 98632-3046
(360) 628-6049
Mailing address
1516 HUDSON ST STE 105, LONGVIEW, WA 98632-3046
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OI 60328112
WA
224P00000X
Prosthetist
Primary
PS 0000476
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OI 60328112
ORTHOTIC LICENSE
WA
01
—
PS 00000476
PROSTHETIC LICENSE #
WA
Enumeration date
10/28/2014
Last updated
10/28/2014
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